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Organization

ATIBA YOUTH INTERVENTION SERVICSE

Active
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Organization

ATIBA YOUTH INTERVENTION SERVICSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD ANTHONY WHEELER (EXECUTIVE DIRECTOR)
(804) 272-2277
Entity
Organization

Contact information

Practice address
7825 MIDLOTHIAN TPKE, SUITE 112, RICHMOND, VA 23235-5247
(804) 272-2277
Mailing address
7825 MIDLOTHIAN TPKE, SUITE 112, RICHMOND, VA 23235-5247
(804) 272-2277

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1181
VA

Other

Enumeration date
08/01/2008
Last updated
08/01/2008
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